Individual provider Active NPI

Aurela Llakatura, O.D

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1477862365
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007604-1 Issued in NY
Practice address
4011 Hylan Blvd
Staten Island, NY 10308-3301
Phone
(718) 227-0929
Fax
(718) 227-0890
NPI assigned
Sep 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007604-1 NY Primary

Addresses

Primary practice location

4011 Hylan Blvd
Staten Island, NY 10308-3301

Mailing address

2655 Richmond Ave
Ste 1140
Staten Island, NY 10314-5852
Phone (347) 881-8214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000731 NY Practitioner - Optometry 7517145576 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007604-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Future Vision Optical, LLC CurrentSince Mar 1, 2026 Accepting new patients
Empire Vision Center, Inc CurrentSince Mar 1, 2016 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Mar 1, 2016 Accepting new patients
Optical Arts Inc. Past Accepting new patients
SK Optical Corp Optometrist Past Accepting new patients
Empire Vision Center, Inc. Past Accepting new patients

Locations

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

240 Page Ave
Staten Island, NY 10307
Phone (718) 227-4059

2655 Richmond Ave
Ste 1140
Staten Island, NY 10314
Phone (718) 761-5607

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1477862365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 RICHMOND AVE",
            "address_2": "STE 1140",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145852",
            "telephone_number": "347-881-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083301",
            "telephone_number": "718-227-0929",
            "fax_number": "718-227-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAKATURA",
        "first_name": "AURELA",
        "name_prefix": "Mrs.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007604-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.